CNL EXAM QUESTIONS WITH CORRECT
ANSWERS
Mandate sfor schange s- sans--Drill sdown
CNL sas sclinician s- sans--A sdesigner/coordinator/integrator/evaluator sof scare sto
sindividuals, sfamilies, sgroups, scommunities, sand spopulations.
Outcomes smanager s- sans--The sCNL sregularly ssynthesizes sdata, sinformation, sand
sknowledge sto sevaluate sand sachieve soptimal sclient soutcomes.
Client sadvocate s- sans--The sCNL sbecomes scompetent sat sensuring sthat sclients, sfamilies,
sand scommunities sare swell sinformed sand sincluded sin scare splanning.
Educator s- sans--The sCNL sused sappropriate steaching sprinciples sand sstrategies sas swell
sas scurrent sinformation, smaterials, sand stechnologies sto steach sclients, shealth scare
sprofessionals, sand scommunities. sPromote sself-care sand sa smaximal slevel sof sfunctioning
sand swellness.
Information smanager s- sans--Knowledge sregarding sresearch sfindings sand shealth
sinformation sresources. sThe sCNL sis sproficient sin susing sinformation ssystems sand
stechnology sto simprove shealth scare soutcomes. sAssist sclients sin saccessing,
sunderstanding, sevaluating, sand sapplying shealth-related sinformation.
Systems sanalyst/risk santicipator s- sans--Systems sanalyst: sA sCNL sparticipates sin sa
ssystem sreview sand sconducts sa smicrosystem sanalysis, sidentifying sa sclinical sissue swith sa
sfocus son sa sparticular spopulation.
Also sto sidentify srisks sto sclient ssafety.
Team smanager s- sans--The sCNL sproperly sdelegates sand smanages sthe snursing steam
sresources sand sserved sas sa sleader sin sthe sinterdisciplinary shealth scare steam.
Member sof sa sprofession s- sans--The sCNL sremains saccountable sfor sthe songoing
sacquisition sof sknowledge sand sskills srelated sto shis sor sher sprofession sand sto seffect
schange.
Lifelong slearner s- sans--Recognizes sthe sneed sfor san sactively spursues snew sknowledge
sand sskills sas sone's srole sand sneeds sof sthe sgesture scare ssystem sevolves.
IOM ssuggests ssix sgoals sfor simprovement: s- sans--1. sSafe
2. sEffective
3. sPatient-centered
,4. sTimely
5. sEfficient
6. sEquitable
Effective slateral sintegration srequires s- sans--1. sCommunication
2. sCollaboration s
3. sCoordination
4. sEvaluation
Collaboration s- sans--Interdisciplinary sprocess sof sproblem ssolving sthat sinvolves sshared
sresponsibility sfor sdecision smaking sas swell sas sthe sexecution sof sspecific splans sof scare
swhile sworking stoward sa scommon sgoal.
RCA s- sans--A sstructured smethod sused sto sanalyze sserious sadverse sevents. sFocuses sto
sidentify sunderlying ssystem sproblems s(not sindividual).
FMEA s- sans--Conducted sin san seffort sto shelp sidentify sweak spoints sin sa sprocess, sto
sprevent sfailures sof sa sprocess/system sand sto sreduce/prevent serrors sbefore sit shas sa
schance sto soccur. s"Near smisses" sare skey sopportunities.
Synergy smodel s- sans--Responsibility sand saccountability sfor soutcomes sis sa sshared
sresponsibility sbetween sthe spatient sand sthe shealth scare sproviders.
Hierarchy sof sevidence s- sans--1. sSystematic sreview sor smeta sanalysis sof srandomized
scontrolled strials s(RCTs) sand sevidence sbased sclinical spractice sguidelines
2. sOne swell sdesigned sRCT
3. sQuasi-experimental sstudy swo srandomization
4. sWell sdesigned scase-control sand scohort sstudies
5. sSystematic sreviews sof sdescriptive sand/or squalitative sstudies
6. sSingle sdescriptive sand/or squalitative sstudies
7. sExpert sopinion/expert scommittee sreports.
5 sstages sof sgroup sdevelopment, sTuckman's sModel s- sans--Forming
Storming
Norming s
Performing
Adjourning/mourning
Hospital sQuality sInitiative s- sans--CMS sadvances snational squality sinitiatives
National sDatabase sfor sNursing sQuality sIndicators s- sans--Patient sfalls, spressure sulcers,
sskill smix, snursing shours sper spatient sday, sRN ssurvey, sRN seducation sand scertification,
speds spain sassessment scycle, speds sIV sinfiltration srate, srestraints, snurse sturnover, sHAI
s(VAP, sCLABSI, sCAUTI)
, National sQuality sForum s- sans--Provides snational sleadership sto sestablish snational
spriorities sand sgoals sfor sensuring sthat shealth scare sdelivery sis ssafe, seffective, spatient
scentered, stimely, sefficient, sand sequitable.
5 sPs s- sans--Purpose
Patients
Professionals
Processes
Patterns
Run schart s- sans--Tool sto sstudy svariation sand sdata sover stime
Gnatt schart s- sans--Bar schart sthat sillustrates sa sproject sschedule. sIllustrates sstart/finish
sdates sof sthe sterminal selements sand ssummary selements sof sa sproject.
Fishbone sdiagram s- sans--Cause/effect. sTook sto sidentify sthemes sof sclinical sissues
s(equipment, spersonnel, scommunication, setc). sAKA sishikawa.
Human sdiversity s- sans--Understanding sthe sways scultural, sethnic, ssocioeconomic,
slinguistic, sreligious, sand slifestyle svariations sare sexpressed.
Chaos stheory s- sans--Based son sthe sprinciple sthat sa ssystem scan smaintain sitself sonly sif
schange sis soccurring ssomewhere sin sthe sorganization sall sthe stime. sChaos sand schange
sare sseen sas smeans sof ssurvival.
Transformational sleadership s- sans--Believes sthat sleaders sand sfollowers smotivate seach
sother stoward sthe send sgoal sof sdeveloping sfollowers sinto sleaders.
Transactional sleadership s- sans--Focused son soperations sand suses sdisciplinary spower
sand sincentives sto smotivate semployees.
Operational sdefinitions s- sans--Clearly sdefine swhat sis sto sbe scollected sand savoid
sconfusion sfor sthose scollecting sthe sdata. sAlso shelps swhen sinterpreting sdata.
Process smapping s- sans--Tool sto sprovide sthe steam swith san sobjective sview sof sthe sproblem
sbeing sinvestigated. sThis sview swill shelp severyone sto sdetermine sthe sbarriers sto stransfer.
sOnce sthe sbarriers sare sdetermined sthrough sprocess smapping, seach sbarrier scan sbe
sbroken sdown sfurther sto sdetermine ssolutions.
Late smajority s- sans--Needs sthe smost ssupport sand swill soften sbe sresistant. sThey smake sup
sthe slargest smajority sof sthe sgroup. sThey smaintain sa shigh sdegree sof sskepticism sand
srequire sa slarge samount sof sinformation sbefore sadopting schange. sThey swill sadopt schange
sonly sin sthe slate sstages. sLaggards shistorically swill snot sadopt schange.
Experimental sresearch s- sans--Quantitative. sExperimental sresearch sis squantitative
sresearch, swhich sis sa sformal, sobjective, srigorous, sand ssystematic sprocess sfor sgenerating
ANSWERS
Mandate sfor schange s- sans--Drill sdown
CNL sas sclinician s- sans--A sdesigner/coordinator/integrator/evaluator sof scare sto
sindividuals, sfamilies, sgroups, scommunities, sand spopulations.
Outcomes smanager s- sans--The sCNL sregularly ssynthesizes sdata, sinformation, sand
sknowledge sto sevaluate sand sachieve soptimal sclient soutcomes.
Client sadvocate s- sans--The sCNL sbecomes scompetent sat sensuring sthat sclients, sfamilies,
sand scommunities sare swell sinformed sand sincluded sin scare splanning.
Educator s- sans--The sCNL sused sappropriate steaching sprinciples sand sstrategies sas swell
sas scurrent sinformation, smaterials, sand stechnologies sto steach sclients, shealth scare
sprofessionals, sand scommunities. sPromote sself-care sand sa smaximal slevel sof sfunctioning
sand swellness.
Information smanager s- sans--Knowledge sregarding sresearch sfindings sand shealth
sinformation sresources. sThe sCNL sis sproficient sin susing sinformation ssystems sand
stechnology sto simprove shealth scare soutcomes. sAssist sclients sin saccessing,
sunderstanding, sevaluating, sand sapplying shealth-related sinformation.
Systems sanalyst/risk santicipator s- sans--Systems sanalyst: sA sCNL sparticipates sin sa
ssystem sreview sand sconducts sa smicrosystem sanalysis, sidentifying sa sclinical sissue swith sa
sfocus son sa sparticular spopulation.
Also sto sidentify srisks sto sclient ssafety.
Team smanager s- sans--The sCNL sproperly sdelegates sand smanages sthe snursing steam
sresources sand sserved sas sa sleader sin sthe sinterdisciplinary shealth scare steam.
Member sof sa sprofession s- sans--The sCNL sremains saccountable sfor sthe songoing
sacquisition sof sknowledge sand sskills srelated sto shis sor sher sprofession sand sto seffect
schange.
Lifelong slearner s- sans--Recognizes sthe sneed sfor san sactively spursues snew sknowledge
sand sskills sas sone's srole sand sneeds sof sthe sgesture scare ssystem sevolves.
IOM ssuggests ssix sgoals sfor simprovement: s- sans--1. sSafe
2. sEffective
3. sPatient-centered
,4. sTimely
5. sEfficient
6. sEquitable
Effective slateral sintegration srequires s- sans--1. sCommunication
2. sCollaboration s
3. sCoordination
4. sEvaluation
Collaboration s- sans--Interdisciplinary sprocess sof sproblem ssolving sthat sinvolves sshared
sresponsibility sfor sdecision smaking sas swell sas sthe sexecution sof sspecific splans sof scare
swhile sworking stoward sa scommon sgoal.
RCA s- sans--A sstructured smethod sused sto sanalyze sserious sadverse sevents. sFocuses sto
sidentify sunderlying ssystem sproblems s(not sindividual).
FMEA s- sans--Conducted sin san seffort sto shelp sidentify sweak spoints sin sa sprocess, sto
sprevent sfailures sof sa sprocess/system sand sto sreduce/prevent serrors sbefore sit shas sa
schance sto soccur. s"Near smisses" sare skey sopportunities.
Synergy smodel s- sans--Responsibility sand saccountability sfor soutcomes sis sa sshared
sresponsibility sbetween sthe spatient sand sthe shealth scare sproviders.
Hierarchy sof sevidence s- sans--1. sSystematic sreview sor smeta sanalysis sof srandomized
scontrolled strials s(RCTs) sand sevidence sbased sclinical spractice sguidelines
2. sOne swell sdesigned sRCT
3. sQuasi-experimental sstudy swo srandomization
4. sWell sdesigned scase-control sand scohort sstudies
5. sSystematic sreviews sof sdescriptive sand/or squalitative sstudies
6. sSingle sdescriptive sand/or squalitative sstudies
7. sExpert sopinion/expert scommittee sreports.
5 sstages sof sgroup sdevelopment, sTuckman's sModel s- sans--Forming
Storming
Norming s
Performing
Adjourning/mourning
Hospital sQuality sInitiative s- sans--CMS sadvances snational squality sinitiatives
National sDatabase sfor sNursing sQuality sIndicators s- sans--Patient sfalls, spressure sulcers,
sskill smix, snursing shours sper spatient sday, sRN ssurvey, sRN seducation sand scertification,
speds spain sassessment scycle, speds sIV sinfiltration srate, srestraints, snurse sturnover, sHAI
s(VAP, sCLABSI, sCAUTI)
, National sQuality sForum s- sans--Provides snational sleadership sto sestablish snational
spriorities sand sgoals sfor sensuring sthat shealth scare sdelivery sis ssafe, seffective, spatient
scentered, stimely, sefficient, sand sequitable.
5 sPs s- sans--Purpose
Patients
Professionals
Processes
Patterns
Run schart s- sans--Tool sto sstudy svariation sand sdata sover stime
Gnatt schart s- sans--Bar schart sthat sillustrates sa sproject sschedule. sIllustrates sstart/finish
sdates sof sthe sterminal selements sand ssummary selements sof sa sproject.
Fishbone sdiagram s- sans--Cause/effect. sTook sto sidentify sthemes sof sclinical sissues
s(equipment, spersonnel, scommunication, setc). sAKA sishikawa.
Human sdiversity s- sans--Understanding sthe sways scultural, sethnic, ssocioeconomic,
slinguistic, sreligious, sand slifestyle svariations sare sexpressed.
Chaos stheory s- sans--Based son sthe sprinciple sthat sa ssystem scan smaintain sitself sonly sif
schange sis soccurring ssomewhere sin sthe sorganization sall sthe stime. sChaos sand schange
sare sseen sas smeans sof ssurvival.
Transformational sleadership s- sans--Believes sthat sleaders sand sfollowers smotivate seach
sother stoward sthe send sgoal sof sdeveloping sfollowers sinto sleaders.
Transactional sleadership s- sans--Focused son soperations sand suses sdisciplinary spower
sand sincentives sto smotivate semployees.
Operational sdefinitions s- sans--Clearly sdefine swhat sis sto sbe scollected sand savoid
sconfusion sfor sthose scollecting sthe sdata. sAlso shelps swhen sinterpreting sdata.
Process smapping s- sans--Tool sto sprovide sthe steam swith san sobjective sview sof sthe sproblem
sbeing sinvestigated. sThis sview swill shelp severyone sto sdetermine sthe sbarriers sto stransfer.
sOnce sthe sbarriers sare sdetermined sthrough sprocess smapping, seach sbarrier scan sbe
sbroken sdown sfurther sto sdetermine ssolutions.
Late smajority s- sans--Needs sthe smost ssupport sand swill soften sbe sresistant. sThey smake sup
sthe slargest smajority sof sthe sgroup. sThey smaintain sa shigh sdegree sof sskepticism sand
srequire sa slarge samount sof sinformation sbefore sadopting schange. sThey swill sadopt schange
sonly sin sthe slate sstages. sLaggards shistorically swill snot sadopt schange.
Experimental sresearch s- sans--Quantitative. sExperimental sresearch sis squantitative
sresearch, swhich sis sa sformal, sobjective, srigorous, sand ssystematic sprocess sfor sgenerating
